Clinical News

Press Release: Medics call for urgent improvements in the quality of endoscopy across Europe

Tuesday, 05 April 2016 08:36

(Vienna) Every year, tens of millions of individuals across Europe undergo endoscopic procedures to assist with the diagnosis and management of gastrointestinal diseases. However, significant variation in current endoscopy provision across Europe has been reported¹, with back-to-back colonoscopy studies demonstrating that a concerning 22% of all adenomas are missed and that a three-to-six fold variation in adenoma detection is present between endoscopists².

This inconsistent provision, coupled with improved first-line screening methods, has created a requirement to improve the quality of endoscopy services as endoscopy of a high quality have been shown to deliver superior health outcomes, better patient experience and fewer repeat procedures³.

United European Gastroenterology (UEG) and The European Society of Gastrointestinal Endoscopy (ESGE) have therefore published a joint paper which identifies a need for change and outlines the first phase of a series of recommendations for improvements in quality standards of endoscopy.

UEG endoscopy specialist Professor Thierry Ponchon, who is a member of the ESGE Quality Improvement Committee, welcomes the publication of new standards. "Endoscopy services throughout Europe are at a critical point at the current time. We must make improvements in the quality of service for our patients a major and immediate priority. Our aim is achieve high quality standards for endoscopy throughout Europe over the next two years and create a thriving community of endoscopy services for all."

Regional Commissioning Workshops

Monday, 21 March 2016 11:52

Your clinical team are invited to meet your commissioners at a regional interactive half-day workshop:

Achieve a Winning Business Case to Improve Outcomes in Gastroenterology & Hepatology Services – An Action Plan

BIRMINGHAM Friday 6th May 8.30am-12.40pm Chair Dr Rupert Ransford
At University of Birmingham, Hornton Grange, 53 Edgbaston Park Rd, Edgbaston B15 2RS (free onsite parking)

MANCHESTER Wednesday 18th May 8.30am-12.40pm Chair: Dr Yeng Ang
Venue TBC

LONDON Friday 20th May 9am-1.15pm Chair: Dr A Frank Muller At Broadway House, Tothill Street London SW1H 9NQ

EAST OF ENGLAND Thursday 12th May 5.30pm-8.10pm Chair Dr Andrew Douds
At Bedford Lodge, Bury Road, Newmarket, CB8 7BX

The BSG has arranged a series of interactive, multi-disciplinary half day workshops for you to help address the challenges many of us are facing in developing our Gastroenterology and Hepatology services. Successful developments seem to occur when Clinicians and the wider Clinical Team work with local Commissioners to agree plans and how they can be funded. Please find the programme and registration form above. The BSG has fully supported this workshop as it is considered to be very important in enabling the developments that we all need to improve the standard of care of our patients.

The objectives are to understand your commissioners' priorities, new NHS developments, identify your service challenges, how to redesign you care pathways and begin to develop a winning business case and action plan with your Commissioners and patients.

CLINICAL TEAMS ATTEND / INVITE LOCAL COMMISSIONERS

To ensure the workshops are truly helpful for you we are asking you to bring along your Clinical Teams (e.g. clinical and nurse leads, hospital business and service managers) and invite your local CCG and Specialised Commissioners so you can discuss the challenges, priorities and actions to redesign your services.

Please find attached a suggested template email for you to invite your local commissioners to join you at this half day workshop. You will also need to attach the workshop programme.

NATIONAL ACTION PLAN REPORT

The series of workshops will culminate with a National Action Plan recommending the key actions for you and your commissioners to improve your services. This will be launched at the BSG Annual Conference on 23rd June 2016 and copies will be sent FREE to all delegates.

We do hope you will be able to join us at this important meeting; please complete the registration form at the end of the programme and return it FREEPOST to Medical Management Services (UK) Ltd, the workshop organisers or simply register at www.medman.co.uk/workshops.

We would also like to thank both Norgine Ltd and Takeda Ltd whose funding have made these meetings possible.

IBD Registry News - March 2016

Tuesday, 01 March 2016 13:25

Latest data submission

We now have information from 11 hospitals on 12,246 IBD patients (up from 8 hospitals and 8,037 IBD patients last quarter). 3 additional teams have registered with HSCIC, so are ready to contribute their data next time.

We're making steady progress with participation and importantly, we have now successfully uploaded data not only from sites using the IBD Registry Patient Management System (PMS) but also sites using the Emis system, 2 web tool sites and one hospital using an in-house database, demonstrating the infrastructure for all the different data capture options. That infrastructure will also allow us to deliver other projects.

The Registry is currently recruiting a Data Manager who will enable us to begin providing a standard report back to sites when we receive their data. Meanwhile, Keith Bodger and his team at Aintree are busy analysing the Hospital Episode Statistics (HES) for IBD as part of a Crohn's and Colitis UK research project. We will begin to see some of the results of this analysis soon; later in the year we will extract the HES data for all patients in the Registry database and be able to analyse the demographics, clinical and HES history for that group.

Colleagues at the sites have worked really hard to upload their data on time - thank you to everyone. We are happy to help any IBD team that needs support to begin collecting and submitting their data. Please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it if you have any queries at all.

Regional meetings update

We've almost completed our initial series of regional meetings and have now met and developed action plans with over 170 members of IBD clinical teams across the country. Slides from the meetings are at http://ibdregistry.org.uk/workshops/

The Scottish regional meeting will take place in Glasgow on Wednesday 20th April and will be chaired by Dr Ian Arnott. We'd really encourage you to come along, and to bring your team if you can. There is no charge to attend, thanks to support from Tillotts, Takeda, Janssen and Shire. For more information and to register please go to http://ibdregistry.org.uk/

IBD Audit news

As you may know, there is an exciting future ahead for IBD services in the UK. The UK IBD Audit as you know it is moving towards an improved system for data capture and quality improvement, using the IBD Registry. This new programme of work remains on both the quality accounts list and the national clinical audit and patient outcomes programme (NCAPOP) in England. Your ongoing participation is very important, and you'll be hearing from the IBD Audit team at the RCP very soon, with a registration form for you to sign up to join this new initiative.

To find out more about joining the Registry click here or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Treatment Recommendations for the management of patients with Chronic HCV Infection

Wednesday, 10 February 2016 12:48

These recommendations were developed at a consensus meeting of clinicians and interested parties on 5 January 2016. Therapies that are NICE approved are presented in bold and those that are NICE unapproved are italicised.

The prices of the different regimens vary considerably. Clinicians should use the most cost effective treatment option taking account of the individual patient's requirements.

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